Extensive ante STEMI, ECG , CXR , ECHO Low voltage ECG

1. Cardiology Presentation 2 IM
Dr Ihab Suliman
7/6/2012

2. Case 1
• 45 years old lady with severe SOB

4. • Low Voltage with PVCs

6. • NSR, Limb Lead Low Volatge with
Non=specific ST-T changes.

8. • Severe Cardiomegally due to Pericardial
effusion

10. • CXR almost Normal from another patient
to Compare with

17. • ECHO showing Pericardial efusion ,
dilated RA

18. Case 2
• 41 years female with palpitations

20. • AF with Ashman phenomenon , PVCs with
RBBB morphology

22. • NSR

25. • Modearte AR as shown by Color jet

26. Case 3
• 48 years old male with sever CP

28. • Extensive Anterior STEMI but with Q-
waves , MI duration is more than 6 hours

30. • After LAD PCI

32. • Already first trop I and CK are high due to
late presentation

33. Case 4
• 55 years old male with CP

35. • SKY High Anterior STEMI in Sinus

38. • ECG after PCI